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CITY OF CARMEL / CLAY TOWNSHIP
IMPROVEMENT LOCATION PERMIT APPLICATION
For: ELECTRICAL INSPECTION
Permit #: 06040064
Date: 04/13/2006
PARCEL ID #: 1714090000004000
LOT & SUBDIVISION:
ADDRESS OF CONSTRUCTION: 10605 HAZEL DELL PKWY CARMEL, IN 46033
Township?: 17 Zoning: Flood Zone: Lot Split:
PROPERTY OWNER INFORMATION:
Name: CITY OF CARMEL
Ph. #: 3175712648 Fax #:
Street Address: 130 FIRST AVE. S.W. CARMEL, IN 46032
CONTRACTOR INFORMATION:
Name: NUGENT ELECTRIC
Ph. #: (765) 643-8854 Fax #: (765) 643-4520
Street Address: 2106 OHIO AVE. ANDERSON, IN 46016
APPLICANT INFORMATION:
First Name: BRYAN S.
Ph. #: 317-417-5063
Street Address: 130
Email:
Last Name: TOLAN
Fax #:
FIRST AVE. S.w. CARMEL 46032
46032
PERMIT TYPE: MELECTRIC ; ELECTRICAL PERMITIINSPECTION
Residential or Commercial: COM
Service Upgrade: N Current Amperage:
Panel Board Upgrade: N New Meter Service: Y
Number of New Circuits: 20 Number of New Meters:
Relocated Structure Connection: Moving Service (Overhead to Underground):
Alteration, Addition, Remodel, or Repair to Existing Distribution System: N
Upgrade Amperage:
Row Signal:
Special Notes/Conditions:
METER FOR WATER TOWER @ THIS SITE. (WELL 20 SITE)
480-/277 @ 400 AMP W/400 A.-SS @ 250 HP MOTOR
AND 10 KVA: 1? XFMR. APPROX. 20 CKT.
"FEE EXEMPT. 'NO NOTES'
This permit is valid only if construction commences within one (1) year of the date of issuance of the State Commercial Design Release.
All construction must be completed (C/O issued) within two (2) years of the issuance date.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of
land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning
Ordinance of Carmel Indiana - 1993" (Z~ 289) and amendments, adopted under authority of LC. 36~ 7 et seq, General Assembly of the State of
Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I
further certify that the construction will not be used or occupied until a Certific<lte of OCCUP<lflCY has been issued by the Department of
Community Services, Carmel, Indiana.
APPLICANT NAME: BRYAN S.
FEES:
* NO NOTES *
TOLAN